INTERNATIONAL INNER WHEEL is the administrative body of Inner Wheel organization worldwide. It is governed by an Executive Committee of five elected officers: President, Vice-President, Immediate Past President, Treasurer, and Constitution Chairman. The EC together with 16 elected Board Directors, make up the International Governing Body. An Editor/Media Manager who is responsible for the IIW website, media output and promotional documents is also nominated and elected. The elections are held once every year from nominations received all over the world. The EC is assisted by a full time administrator.

Clubs, Districts and National Governing Bodies adhere to the IIW Constitution. An IIW Convention held triennially and hosted in one of the Inner Wheel countries, gathers members all over the world to discuss changes and vote accordingly. Every Club has a right to a vote.

Large meetings are also held regionally, such as in Europe, USA, South Asia, Philippines, Australia, and India. This has helped to promote friendship, and provide the opportunity for growth, leadership and empowerment.